Los Angeles daily herald., 1887-06-12
G "A T A r r Fl

T1NE TERM CATAREH is AP-
i piled to peculiar disorder OF the
nostrils and adjacent parts, which prevails
10 an alarming extent and is productive Of
very serious consequences.
The most prominent and characteristic
features is a morbid discharge from the
head, varying in Its nature at different
times.
In some there Is an almost constant flow
of clear, acid fluid, but oftener an offensive,
purult MT, or mueo-purulent, gfeenish-y ell
low matter is secreted, which aoeumulates
in the nostrils or Drops into the throat,
necessitating its frequent removal by blow
ing the nose or expectoration, ard often hy
BON processes. Sometimes patients feel as
though their whole head was in a state OF
rottenness, so great is the amount OF matter
discharged and-so fetid is Its odor. The
patient is greatly annoyed by the constant
dropping into the throat OF the morbid
matter from the head, and as q recumbent
position naturally favors the flow down
wa q, his rest is frequently disturbed from
this cause. Many sufferers are obliged 20
lie with the head very much elevated IN
order TO sleep with some degree of com
fort
phlegm collects behind and above the soft
palate, in the passage between the throat
and head, adhering to the parts with gluish
tenacity. Its lodgment emoarrasses respi.
ration aud creates a sensation of irritation
and uneasiness in the affected locality,
which gives rise to a constant and almost
irresistible desire 10 relieve the discom fort
by drawing the mucous into the throat SO az
to eject it by the mouth. This practice,
popularly known as hawking" is charac
terstic of catarrh, and proves as emhar.
rassing to the one affected as 1t Is disagree.
able to those around him
Again, the offensive matter haIdens and
deposits itself on the membrane in the
shape of dry. hard cOncretions, which are
discharged by way OF the los rlls or throat
in Jumps or fragments OF deep green tint.
Tn noG Efati nVau anf,rf
late to such an extent as to form regular
plug in the nose, which obstruots breathing
and produces serious discomfort. So firmly
do these inerustations adhere TO the point
OF attachment that their removal Usually
| erquires the most violent efforts; not unfre
quently they have to be torn from the mem.
brane. occasionally a solid cast of notable
| size is expelled, on which there are gener-
ally traces OF blood, but in some cases the
| cast presents Il tubular appearance. being
| of exaet shape of the nasal cavity. This
condition is indicative OF liberation, which
in time may destroy the bony structure o.
| the nose and produce subsequent hatten-
| ing of that organ.
| Cases are occasionally met with in which
| a thick, viscid, Shiny secretion coats the
| membrane of the nasal cavities and then
putrifes, giving rise to stencil which Is
| really overpowering and sufficiently fetid
| to poison the atmosphere of q whole room;
| and there are others in which all the secre-
| tions of the membrane are suspended, caus
1
and feverishness in the head and nose--s
! condition popularity known as DRY Ca.
| tarrh."
| The disease speedily extends to the afr
| cavities of the bones of the forehead and
| face, giving rise to distressing sensation
| of heavy weight or compression over the
forehead, especially in the region above
and between the eyes. and to feeling Of
| fullness, heat, irritation, soreness or pain
in the nostrils near the root of the nose.
| well as in the upper part ct the throat, aboye
| and behind the soft palate. Sometimes
| there is pain obstinately fixed in some par.
| tIculaI part as in the temple on the top of
the head, at the back of the neck, or behind
the orbits, and occasionally pain mgnifests
| itself in the face Of so severe a character
that il is frequently mistaken for neuralgia
| The breath is always tainted and at times
assumes TN exceeding fetid and sickenins
odor. In some cases 1t becomes so revolt
ingly offensive as to render the sufferer
an object OF disgust TO himself as well as to
others.
The nasal membrane is thickened and
| congested, causing the nose to be stopped
up. sometimes on one side, sometimes on
the other, and often on BOTH giving ris TO
a dissgreeable stuffy sensation in the head
and occasioning violent and prulonhed
paroxysms of sneezing.
The voice is weak, indistinct aud husky,
| or of a nasal chara cter, displaying a sort OF
smiling quality. Oftentimes there is a con
tinuous hoarseness aud discor6ance. There
is also sense of irritation in the throat
and frequent attempts to clear the parts Of
phlegm, producing the sound "hem" more
or less forcibly. In some cases patients
| complain of an uncomfortable feeling OF
| fullness. or q choky sensation in the throat
and in others of distressing and almost
constant dryness. for the temporary relief
of which they have to swallow frequently.
| others, again, spesk of constant bad or
nauseous taste in the mouth or throat.
The stomach generally suffers more or
less and becomes weak and irritable; the
appetite is capricious and nearly always bad
In the morning. The patient il languid, un-
able to perform mental or physical labor
with the usual facility; is nervous, de-
pressed in spirits, at times fearful, timid,
sgitsted and inclined to drowsiness and
| sleep, the memory weakened and perman-
ent impairment threatened.
The mueus membrane soon becomes NOR.
| bidly sensitive to unfavorable influences,
and in spite of the utmost care becomes af.
fected from the slightest causes, so that at
last breath of wind upon the lining of the
| nose or throat becomes productive OF cold,
and gives rise to serious disturbances OF the
respiratory organs. Thus the patient is sub.
| leet to frequent and repeated colds, each
| attack aggravating the disease by giving 1t
new impulse and involving larger ex.
tent or SURFACE than its predecessor. In this
manner the dtmculty spreads from organ to
organ, invading the throat. lsrynx, traches
and bronchial tubes, until, encroaching
further and further, it reaches the finer
ramifcations of the bronchi, when but q
lungs. Catarrh may, and often does, affect
other organs in the body, especially those
containing mucus membrane, such as the
stomach, bowels, kidneys, etc.
BY the employ ment of proper inhaletions
IN the form of medicated vapor (not steam
or spray we are able to produce immediate
ana direct action upon the diseased surface
IN the pharynx and nasal passages, for air
VIII hnd.its way into the most remote aud
Intricate cavities, where it is utterly impos.
sible to make fluid applications. By these
means every case can be cured.
ozGNA.
Ozoena is the professional or technical
name given to the advanced form of catarrh
III which liberation has eaten through the
mem brane lining of the nose to the cartil.
age of the bone. Any case of catarrh may
eng in a. IN oz@na, but It most frequently occurs
discharge kes place through the nostr.ls
or through the throat, and Is generally OF a
yelicwish or greenfsh yellow color. freqent-
ly tinged with blood, and almost always at
tended by an offensive smell. In the Ian.
guage OF DR.. Wood, of Philadelphia, "The
disease is ore of the most obdurate and
disegreeable which the physician has TO
encounter. In bad cases the breath Of the
patient becomes so revolving as to isolate
him from society aud to render him an OBJ
Ject OF dlsgust even to himself" In some
cases PIECES OF bone become separated and
slough of, leaving deep, unhealthy ulcers.
which secrete bloody matter and are ex
tremely difficult to heal. After oznna has
continued for some time the sense of smell
usually becomes impaired and often lost.
peaIness is one OF the most common conse-
Iuences, and results from its extension
through the eustachian tnbes to the internal
ear. Pains In the head and over the frontal
'inuses, impairing memory, and even in.
AMY "a frequently springs frem its extension
o the brain. The greatest danger, however.
because the most common, Is that 1t will
,xtend downward and affect the lungs. In
most cases OF pulmonary disease catarrh is
. ,resent IN some degree, and In many in.
iept's discomfort. VAC
BESIDES these grave consequences, all of
pnlch are liable to spring from crofulous
a.afrn sea I'm or ozDna, there are others which, IL
occasions great unhappiness tot thousands
both sexes, by isolating them and Dre-